Family Urology Associates
A Medicare group practice based in Frederick, MD: 2 NPIs enrolled under one PECOS associate control ID (PAC ID 8628318524), with 4 clinicians.
Medicare enrollment
Medicare enrollment files- PAC ID
- 8628318524
- Provider type
- Part B Supplier - Clinic/Group Practice
- Enrolled in
- MD
- Enrollments
- 1
- Group size
- 4 clinicians
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Practice locations
- 6
Enrollment records 1
| Enrollment ID | State | Provider type | NPI |
|---|---|---|---|
| O20190312002207 | MD | Part B Supplier - Clinic/Group Practice | 1972077261 |
NPIs in this group 2
NPPES NPI RegistryThese NPI records belong to the same enrolled organization. Each has its own page.
-
Family Urology Associates
- Urology Physician
- Frederick, MD
- NPI 1972077261
-
Family Urology Associates
- Urology Physician
- Frederick, MD
- NPI 1831939529
Practice locations
- Frederick, MD5
- Hagerstown, MD1
Clinicians 4
Clinicians who reassign their Medicare benefits to this group (4) or whom Care Compare lists as members (4).
-
Mustafa Azimi
- Acute Care Nurse Practitioner
- Frederick, MD
- NPI 1568064046
-
Mohammed Haseebuddin, M.D.
- Urology Physician
- Frederick, MD
- NPI 1174750970
-
Amanda Holler
- Nurse Practitioner
- Frederick, MD
- NPI 1598194086
-
Marjorie Dianne Palmer, CRNP
- Family Nurse Practitioner
- Frederick, MD
- NPI 1528741915
Sources for this page
- Medicare Fee-For-Service Public Provider Enrollment: the enrollments, PAC ID, practice locations and benefit reassignments.
- Care Compare Doctors and Clinicians: group membership, group size and the name CMS shows patients.
- NPPES NPI Registry: the names and addresses of the NPIs above.